FROM THE MAILBAG: Working with the Dying & Professional Chaplaincy Ethics
As if I’m not busy enough these days, I’ve decided to inaugurate several new features here at the blog in the coming month. Today, I kick off this introduction of fresh stuff with “From the Mailbag”, a new series of posts in which I will answer reader questions here at the blog.
One of the great things about doing this blog–and something that keeps me going with it–is that I get a lot of emails from readers. Often I’m asked questions about Naropa and UWest, but I also get a lot of questions about professional chaplaincy, reading recommendations, Buddhist ideas about caregiving, and other topics. It occurred to me recently that it might be useful to start sharing reader questions and my answers to them here at the blog.
Our very first “From the Mailbag” question comes from Harvard University undergraduate Elizabeth “Bizzy” Goodman-Bacon. Bizzy is a psychology major at fair Harvard taking a Comparative Religious Ethics course this semester to fulfill a requirement. She’s especially interested in healthcare ethics and religion, and has decided to focus on “Buddhism and the ethics of dealing with death” in her final paper. Her TA (who is one my very best pals) directed her to me. What follows are her questions and my responses.
DEAR DANNY: What kind of advice, from a Buddhist perspective, is most important when dealing with the terminally ill? I’m also interested to know about the situations when a Buddhist chaplain must administer to all faiths (I’m thinking probably Christianity). For example, is it unethical for a Buddhist chaplain, who is technically an atheist, to administer the last rites for Christians? — BIZZY
DEAR BIZZY: First, in terms of attending to the terminally ill, I think the most important thing is simply to be as present as you can. You cannot attend to someone (or even really listen to or communicate genuinely with them) if you’re not able to be right there in the present moment with them. And, generally speaking, terminally ill patients will need you to be able to do this. This is one of the reasons why there was so much mindfulness meditation practice involved in the program I did at Naropa University. Mindfulness practice is one way of cultivating an awareness of what is happening in our experience moment-to-moment. It is learning to meet each moment on its own terms, without running away from it or trying to manipulate it or change it. It is training our mind to be present, to be there with what is. I think that even a little bit of this training is beneficial in the context of chaplaincy. Meditation practice can help us understand ourselves and the workings of our mind better. One of the natural results of this is that we’re able to relate to ourselves and others with much greater authenticity and attention. But whether it’s mindfulness meditation, centering prayer, psychotherapy, sports, or something else that gets us there, the most important thing from my point of view as a Buddhist is just to be as fully present as possible.
Second, with regards to the issue of doing work in a multifaith environment, there’s a bit to say. (And I’m going to pull some of it out of my past and current writing if you don’t mind.) Obviously, I am a Buddhist, and I also think that chaplains can reflect handily and thoughtfully from their own religious perspectives and reference points, as well as perhaps challenge patients to go further in their thinking and spirituality. But the professional healthcare chaplain is there to honor what is meaningful for the patient. Working with the patient’s spiritual frame of reference and not imposing another is fundamental to the practice of chaplaincy. While each individual chaplain must come to terms with what he or she can and cannot do with integrity, this approach is what separates professional chaplaincy from, say, proselytizing or preaching only to the converted or something like this. And this is more than just my opinion: the Joint Commission on the Accreditation of Healthcare Organizations (J.C.A.H.O., 1998) explicitly states that “patients have a fundamental right to considerate care that safeguards personal dignity and respects their cultural, psychological, and spiritual values.”
This is mind, a range of difficulties and frustrations are, as you suggest, not unimaginable for Buddhists working as a professional healthcare chaplains in the United States. One of my colleagues, Mikel Monnett, puts it well when he says, “The question can therefore be asked how can a Buddhist chaplain serving in an interfaith capacity possibly minister to the predominantly Christian populace of most [healthcare facilities] when he or she themselves are non-Christian?” Yet, to Mikel’s thinking, this is a misguided question, for it fails to take into consideration the values of professional chaplaincy. He sees these values as distinct from (but not necessarily incongruous with) the chaplain’s religious values. While Mikel concedes, “a chaplain’s personal beliefs do influence how he or she views [a healthcare] ministry and the individual style of pastoral care,” he insists that it is “absolutely essential” that a chaplain “[be] able to stand with the patient (and/or their family) where they are.” Whether Buddhist or Christian or whatever, if the chaplain can’t do this, then perhaps professional healthcare chaplaincy is not for that person.
It’s important to note, though, that some rites and rituals do require a very specific person. (The Catholic Church, for example, says that only an ordained priest can perform sacraments like the last rites.) In cases like this, the chaplain might offer care in the form of advocating for the patient and arranging for the proper religious representative to come visit him or her. — DANNY
Obviously, “From the Mailbag” will survive only so long as I receive reader questions…so send me some! At this point, I’ll take questions about anything you want to throw at me. It could be about things discussed at this blog (Buddhist practice and study, chaplaincy, Darfur, Burma, Tibet, religious studies, religion and film, etc.), or about something else you’d like to have me chew over a little bit. It can be an informational question. It could be a request for advice or something like a “Dear Abby” question. You can be anonymous when I answer your question, or I can make it a point to mention you and your work/website/etc. when I answer your question. Anything’s kosher at this point.
You can send your questions to me via email, at Facebook or Myspace, or by leaving a comment in this or other posts.
NEXT TIME: Thinking about heartbreak from a Buddhist perspective.





